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MICHIGAN OCCUPATIONAL THERAPY ASSOCIATION ANNUAL CONFERENCE 2016 Art by: Johnny Camacho (2016 Art Prize Entry) October 6th – 7th, 2016 The Doubletree Hotel-Airport 4747 28th Street SE Grand Rapids, MI 49512 KEY NOTE SPEAKER Thursday, October 6th Time: 8:00-9:30 AM Stevie Hopkins Motivational Speaker "Self-Determination and the Social Model of Disability" Stevie Hopkins, co-founder of 3E Love, shares his story of how he fell in love with life. Through the highs and lows of adventuring through his life with a disability, running a business, and forging his own path in the face of adversity and tragedy, he tells a tale of inspiration and strength unlike any other. Objectives: To educate students and professionals on the social model of disability To entertain with a story of hardship, love, adventure, and life, intended to motivate listeners to analyze and overcome their own challenges and barriers To present a new perspective on disability with the goal of inspiring change in thought and behavior Human Trafficking Thursday, October 6th Time: 11:30 AM – 12:30 PM Casey Bross, OTD, ORTL, CLT Casey Bross received her Occupational Therapy Doctorate (OTD) from the University of Toledo, beginning her career at the University of Michigan’s Pediatric Rehabilitation Center in August 2013. Casey has developed a passion for working with children of all ages with a variety of abilities in becoming more functionally independent with the greatest quality of life. The state of Michigan is requiring health care providers to complete ongoing continuing education in the area of “Human Trafficking”. This session is being offered to all attendees to ensure an opportunity to meet the new continuing education requirements. This presentation aims to not only review the program development plan for the OTLSP but additionally review the prevalence of sex trafficking in the state of Michigan and the United States, common red flags for at risk youth, and common recruitment methods. The cover art was created by Johnny Camacho, a current 2016 art prize contestant. He agreed to allow his art to be included in this brochure due to his experience with school therapists including an occupational therapist. A year ago his one year old son had leukemia. He attributes his son’s triumphs to the therapy his son continues to receive. His art will be displayed at The B.O.B. Updates on Licensure Friday, October 7th Time: 12:30 – 1:30 PM Kimberly Pace, OTRL Kimberly Pace has practiced as an occupational therapist since 1982, after graduating from Wayne State University. She worked in a variety of settings until 1990 when she began specializing in the area of industrial rehabilitation. She joined the Michigan Hand and Sports Rehabilitation Center as an Industrial Rehabilitation Specialist in September of 2002. Her areas of expertise include functional capacity evaluations, medical disability evaluations, work conditioning, ergonomic consultations, pre-work employment screens, job analyses, job coaching, legal depositions, home evaluations, and assisting with life care planning on industrial rehabilitation. Kimberly has lectured for the occupational therapy departments at Mott College and Wayne State in addition to numerous conferences. In the fall of 1992 she was appointed by Governor Rick Snyder to Michigan Board of Occupational Therapy and is currently serving her second term. As a board member she serves on a subcommittee for the development of the rules and regulations for practicing occupational therapists within the state of Michigan. Kim is a constant advocate for the many services occupational therapists can provide for the consumers of our services. Kim will review the most recent information regarding the licensure rules and regulations which have been enacted and those which are being developed. Conference Summary Wednesday, October 5, 2016 4:00 PM “5K Run, Walk, and Roll” 5:30 PM Student Ambassador Meeting 5:30 – 9 PM Early Registration 5:30 – 9 PM Exhibitor Set-Up 7:00 PM Board of Directors Dinner Thursday, October 6, 2016 Registration Open 7:00 – 8:00 AM Exhibitor Set-Up Breakfast, Welcome & Keynote 8:00 – 9:30 AM Address: Stevie Hopkins Concurrent Sessions 9:30 – 11:30 AM Exhibitor Set-Up 11:30 AM – 12:30 PM Lunch: Casey Bross 12:30 – 2:30 PM Exhibit Hall Open 12:30 – 2:30 PM Concurrent Sessions 2:30 – 3:30 PM Poster Sessions Unopposed Exhibits with 3:30 – 5:30 PM Welcome Reception 5:30 PM Art Prize Trip 5:30 – 8 PM Exhibit Hall Open Friday, October 7, 2016 Registration Open 7:00 – 8:00 AM Exhibit Hall Open Unopposed Breakfast, Annual Business Meeting, 8:00 – 9:30 AM Raffle Drawings, Silent Auction and Award Ceremony Concurrent Sessions 9:30 AM – 12:30 PM Exhibit Hall Open Lunch: Kim Pace 12:30 – 1:30 PM Followed by SIS groups 1:30 – 3:30 PM Concurrent Sessions 3:30 PM Conference Officially Concludes Second Annual MiOTA 5K Fund Raiser 5K Run, Walk, Roll Wednesday, October 5th Time: 4 PM Note New Start Location: Mary Free Bed YMCA, 5500 Burton St SE, Grand Rapids, MI 49512 5K Run, Walk, Roll Pledge Sheet Silent Auction Friday, October 7th at 9:30AM FRIENDS OF OCCUPATIONAL THERAPY IN MICHIGAN PAC Po Box 19031, Kalamazoo, MI 49091 The Political Action Committee for Michigan called “Friends of OT in Michigan” was reactivated in October, 2013 (when we re-activated the PAC) and September 2015, we had raised $3,630.02. During the month of October, 2015, we raised another $1,387! The goal was $2,000 for 2015. We are close to that goal, but there is still time to meet/surpass our goal to support candidates who are in positions to positively represent occupational therapists in MI. Our “grand total” is $5,128.02, but that has to be split with candidates throughout the state, so if we could round that total up to $6,000, we would be better able to make contributions that would get really noticed by the candidates. Please consider donating an item for the auction or even biding on an item. Proceeds are used to advance our OT “voice” within the state of Michigan especially during these changing times of health care reform. No donation is too small (even students can contribute). Ideas for donations: time shares, skis, simple ball point pens, bottle(s) of wine, handmade stained glass hangings, handmade American Girl doll dresses, homegrown alpaca wool, handmade woven scarves, blown glass pumpkins, handmade chocolate covered Oreos, sporting event tickets, gift cards, golf packages, autographed items, etc. Send in your contribution(s) and the “Contributors’ Form” to: Debra Lindstrom & Jackie Ryan Friends of OT in MI PO Box 19031 Kalamazoo, MI 49019 FRIENDS OF OCCUPATIONAL THERAPY IN MICHIGAN PAC Po Box 19031, Kalamazoo, MI 49091 MiOTA PAC Contribution Form Name: Address: City, State, Zip: Phone Number: _____ Employer: Employer Address: City, State, Zip: _____ Occupation: Donation Amount: $ SILENT AUCTION: Donation Item Description: _____________________________ Location of Purchase: _________________________________ Value of Item: $______________________________________ Date Given to PAC: __________________________________ Please Note: All checks need to be made out to “Friends of OT in Michigan PAC”. No Corporate Checks Accepted. Personal Checks Only Please. You must be a Member of the Michigan Occupational Therapy Association and U.S. Citizen to Donate. All Donations are NOT Tax Deductible Office Use Only: Received by: Date: Accepting Nominations for Annual Awards Ceremony OTR Award of Excellence COTA Award of Excellence Roster of Fellows Distinguished Service Award Certificate of Appreciation Legislative Award Departmental Membership Honorary Member Award Master Clinician Award Visit website for forms at: http://www.miota.org/recognition.php All nominations due September 9, 2016 WANTED: Student Ambassadors for Conference Looking for 7 students to proctor speaker sessions in exchange for registration Visit website for application forms at: www.mi-ota.com All applications due September 9, 2016 Be sure to vote for the Board of Director’s positions by September 9, 2016 Annual Business Meeting Friday, October 7th Time: 8-9:30 AM CEU Event Meeting Agenda Leader of Executive Committee Report Finance Report Membership Report Communications Report Advocacy Report All members are invited to attend. Hotel Amenities Pre/Post-Conference Attractions Complimentary Airport Shuttle Art Prize Shuttle Service Thursday evening Exhibit Hall Thursday, 3:30-5:30 PM CEU Event THURSDAY Session #12. Thursday, 9:30-11:30 AM Using Questions to Promote Critical Thinking in Fieldwork Experiences Cynthia A. Grapczynski, EdD, OTRL, FAOTA and Breanna Chycinski, MS, OTRL Content will include a discussion of interactive learning strategies to develop critical thinking in fieldwork students, along with examples of questions that can be used for: (a) assessment and treatment planning, (b) intervention implementation, and (c) team conferencing and documentation. This will be followed by practice sessions with student cases in different simulated situations that require good clinical judgments. Fieldwork education has been shown to be a critical element in the development of new practitioners, to practice in new and challenging environments, and using questions to make students think critically is one way to ensure they are ready for these new practice experiences. Learning Objectives: At the completion of this session, participants will be able to: 1) Use questions to help students justify clinical decisions; 2) Challenge students to demonstrate their understanding of the OT process; 3) Challenge students to make changes in approaches and treatments for maximum effectiveness. Session # 13. Thursday, 9:30-11:30 AM Fieldwork Supervision 101 Sara Clark, MS, OTRL; Julie Jacobs, MSOT, OTRL; Anne Crites, OTRL; and MOTEC Fieldwork students (OT and OTA) are the future of our profession. Any clinician, regardless of level of experience, can supervise a Level I student, and practitioners with one year of experience since initial NBCOT certification can supervise Level II students (ACOTE, 2011). This session will discuss the benefits of being a fieldwork educator and the tools needed to establish and run a fieldwork program in any type of practice setting. Members from the Michigan Occupational Therapy Education Consortium (MOTEC) from various academic programs across the state (OT and OTA) will be present to answer any questions related to fieldwork education. Session #16. Thursday, 9:30-11:30 AM Facilitating Employment for Persons with Disabilities: Current Trends and Issues to Expand Occupational Therapy Practice in the Acquisition and Retention of Jobs Claudette Stork Reid, OTL Changes in the Federal legislation and business’s need for competent workers and a diverse workforce that mirrors their customer base have combined to provide great opportunities for workers with disabilities... and for OTs who recognize and claim their role on the vocational rehabilitation team. Goals: 1) Discuss the impact of recent changes in federal legislative and policy documents that provide the foundation for vocational rehabilitation services; 2) Articulate the potential inter-professional relationships, roles and contributions for occupational therapy practitioners in the vocational rehabilitation process; 3) Describe the role of occupational therapy in facilitating success in work for persons with disabilities in many settings including: K12 schools, secondary education and vocational training, adult rehabilitation, sheltered workshops, and accommodating the aging worker in the workplace. Session #17. Thursday, 9:30-11:30 AM Improving Cortical Visual Impairment in Children Donna Case, PhD, OTL and Janelle Corace, MS, OTRL Cortical Visual Impairment (CVI) is the most common type of visual impairment among children. Treatment for CVI is different than those for individuals with ocular impairment. Thus is it important for occupational therapy practitioners to understand the ten characteristics of CVI and implications for OT treatment. Objectives: 1) Participants will identify ten characteristics of cortical visual impairment. 2) Participants will identify conditions that commonly accompany CVI. 3) Participants will understand how to adapt OT interventions for individuals with CVI. Session # 23. Thursday, 9:30-11:30 AM Test your Knowledge of the 2015 Code of Ethics Kathryn Potter, MS, OTRL and Elsie Levandoski, OTAS The American Occupational Therapy Association has published a new Code of Ethics (Code) official document in November/December 2015. This workshop will allow participants to assess their working understanding of this document as it applies to common issues in the clinic and the classroom. A slideshow presentation will be provided that asks participants to answer a series of applied knowledge questions specifically related to the 2015 Code. Instead of the traditional question and answer format, participants can use their smart phones to access the free website Kahoots to answer questions anonymously but still track their individual progress. This anonymous but fun aspect to the workshop will allow for honest participation without pressure- to truly enhance the participant’s understanding of the 2015 Code. Because the Code document has recently been updated, this workshop is designed to interest the seasoned clinician as much as the entry-level or student. Session #25 Thursday, 9:30-11:30 AM Back to Basics: Functional Neuroanatomy Review Cheri Ramirez, MS, OTRL and Alissa Baker, MS, OTRL This workshop will review up to date information from the field of functional neuroanatomy and assist practitioners with application of this information to OT practice across the lifespan. Information will be presented in the format of a lecture with opportunity for discussion implemented throughout the presentation. This workshop is proposed as Part 1 of a two-part workshop. Part 2, Understanding Pain and its Influence on Client Performance, includes a more advanced, in-depth review of the neurobiology of pain and its application to OT practice. Participants can choose to attend Part 1, Part 2, or both parts. Session #1. Thursday, 12:30-1:30 PM Preparing to Meet the Fieldwork Needs of Millennial Students Erica Baas, MS, OTRL In this presentation you will be taught the nuts-and- bolts of “generational theory”, the basic characteristics of the Millennial Generation, how these characteristics can impact the fieldwork experience, and practical methods of best utilizing your time as a fieldwork educator, while working with millennial students. Whether you are a new or seasoned fieldwork educator, you will gain knowledge and ideas from OT and healthcare literature that can be applied to your experiences with students in order to provide the best transition from classroom to clinic. Learning Objectives: 1) Identify basic components of Generational Theory; 2) List stereotypical characteristics of Millennial Generation; 3) Verbalize at least three practical methods for working with Millennial Occupational Therapy students in fieldwork education. Session #10 Thursday, 12:30-1:30 PM How to Treat Executive Dysfunction in Individuals with Neurological Impairment Holly Grieves, MS, OTRL, CBIS and Marissa Meinema, BS, OTS Content Focus: Executive functioning is pertinent to reintegration into community, to re-establish social relationships, return to work, resumption of driving and ultimately restoration of independence and quality of life. We will explore evidence-based interventions to target the complex and multi-faceted area of executive dysfunction. Objectives: 1.) Define executive function and discuss methods of assessment. 2.) Understand methods of treatment interventions to remediate, compensate, or adapt for executive dysfunction 3.) Comprehend evidence in support of executive function interventions. Session #18 Thursday, 12:30-1:30 PM Transforming OT Caseload to Workload Donna Case, PhD, OTL School based therapists are being asked to increase productivity. OTs in Michigan schools has seen their caseloads increase and is being asked to see more students with fewer resources. Administration frequently looks at caseloads for school based therapist solely on the direct work done with students. This approach does not acknowledge the complexity of occupational therapy role in current best practice scenarios. This session will address the differences between caseload and workload and provide resources for individuals to move into a workload model. Objectives: 1) The participants will identify the difference between caseload and workload; 2) The participants will identify resources for moving from a caseload to workload model. Session #28 Thursday, 12:30-1:30 PM Keeping Occupation as the Focus of Intervention Treatment in the SNF Setting Cindy Klinger, BA, COTAL and Chelsey Perry, OTRL Returning to Occupation is the central theme of treatment intervention in a SNF setting. With the ever changing payment trends, we will review evidenced supporting the need to include occupation in all treatment intervention. Session #27 Thursday, 12:30-2:30 PM What’s So Funny about Brain Injury? Increasing Public Awareness and Brain Injury Education through Comic Strip Media Michael P. O'Connor, OTRL, CAPS, CBIST and Anna Keough, OTS Brain Injury is often referred to as a “silent epidemic” because the deficits may not be evident to the physical appearance, and because there is “silence” in lack of public awareness. News reports, documentaries, biographies and even fictional characters in movies or television can contribute to increasing public awareness. The “comics” or “funny pages” may be the last place to expect to meet a character with a brain injury. This presentation utilizes “For Better or for Worse” & “Doonesbury” cartoons art work two Case Studies as storytelling of functional examples of course of medical trauma care and rehabilitation following traumatic brain injury, and presents on the effect cerebral vascular accident (stroke). This presentation will provide: 1) Neuroanatomy review (brain structure and function) in context of Case Studies; 2) Review of psychosocial impact of brain injury on the individual, their family, and relationships; 3) Strategies for appropriate interactions for individuals with aphasia (communication deficits) will be emphasized (cartoon artwork used with paid copyright permission via payment to AMU Universal Reprints / Universal Uclick). Session #30. Thursday, 12:30-2:30 PM Pain Management - a Key Practice Element to Achieve Clinical Outcomes Mary Beth Bisinger, MOT/OTRL, BCPR This session is designed for clinicians seeking to enhance knowledge and skills providing skilled OT intervention to clients with Pain as a primary or co-morbidity. The focus will be to improve clinicians’ ability to provide evaluations and treatment strategies utilizing evidenced based practice. Interactive activities to support assimilation of information and resources will be provided. Innovative research and development provides occupational therapists with an opportunity to have a high impact employing evidence based practice techniques and occupation based treatment interventions. Therapists need to understand the specific physical and cognitive characteristics to obtain maximal outcomes. Our distinct skill can identify deficits and problem-solve solutions efficiently through the utilization of standardized tests and measures that will be described. Treatment interventions and strategies will also be shared on the basis of these assessment scores. Session # 6. Thursday, 1:30-2:30 PM So You Think You Can Teach? Transition from Clinic to Classroom for OTA’s Mary Ellen East, MS, COTAL, ROH If you are an OTA who loves to share your knowledge with others, a career change to academia may be for you. Recognized as a growing field, occupational therapy continues to grow. As more schools open the need for qualified faculty is on the rise at both the OT and OTA level. This short workshop will provide participants with tools and tips to begin their journey into academia. A review of the ACOTS Standards related to qualifications for faculty will assist participants in identifying strategies leading the transition from clinic teaching to classroom teaching. LEARNING OBJECTIVES: 1) Participants will understand basic requirements for faculty at the OTA level; 2) Participants will be able to identify resources regarding academics (ACOTE); 3) Participants will have an understanding of the opportunities for an OTA within academia. Session # 7. Thursday, 1:30-2:30 PM Community Re-entry Program for Correctional Facility Inmates Courtney Seaman, OTS, Nicole Parrent, OTS, and Josh Eisenga, OTS Saginaw Correctional Facility allows Saginaw Valley State University students to create a re-entry program for the inmates The expected outcome was to increase the inmate’s knowledge of life skills, thus allowing for better results when reintroduced to the civilian population. The presentation will include the outcomes of the current and previous programs, the treatment plan overview, and the impacts for the inmates/ students who implement treatment. The learning objectives for the inmates are to learn skills necessary for smooth re-entry to life outside of prison, effectively work as members of a team, recognize consequences of their actions and demonstrate accountability for these actions, learn appropriate/positive methods of coping, and effective communicate. During this program the OTs focus on the CBT frame of reference to effectively change the inmate’s cognitive patterns to reintroduce them to the community. Also, each of their ADLs and IADLs are focused on which makes this the perfect setting for OT. Session # 11, Thursday, 1:30-2:30 PM “Pierce” Functional Communication Device Screening Karen Tibbs, OTRL, MSA This is one of the only screening that addresses provides a grading scale for impaired motor skills, visual perceptual and/or physical challenges of those who are in need of communication devices. A screening is needed in the selection process for communication devices. The success rate and follow through of communication device users are low. The screening protocol offers a grading scale for motor challenges, cells sizes, rate of scan, positioning of devices, visual perceptual skills and more. Formal abstract: This presentation will offer participants a screening tool for assessing physically challenged individuals who are in need of communication devices. We will look at how to grade impaired motor skills. The areas that this session will target are visual perceptual skills, visual/motor skills, and cognition. We will look at the developmental stages of communication devices and the training of acute versus chronic disabilities. Learning Outcomes: 1) Participants will learn basic skill of how to grade impaired motor skills; 2) Participants will gain basic knowledge of what is needed before securing a communication device for clients/students; 3) Participants will learn what to consider when selecting a communication device for a client; 4) Participants will learn the importance of matching features to the clients; 5) Participants will learn other ways of using communication devices; 6) Participants will learn the importance of understanding physical skills and matching them to communication devices. Session # 15. Thursday, 1:30-2:30 PM Thinking Clearly: Pediatric Executive Function Carla Floyd-Slabaugh OTD, OTR/L, CBIS, Visiting Professor GVSU Purpose: This course is designed to expand the occupational therapy practitioner’s lens to include pediatric executive function. Content: The OT perspective, assessments, and occupational performance issues related to pediatric executive function. Relevance to OT: In order to remain relevant, the field of OT needs to adapt to meet the changes encountered in clinical practice. Expanding the OT lens to include executive function will allow practitioners to meet the Triple Aim of the Affordable Care Act while also demonstrating the distinct value of OT as a holistic care provider, whether that is in the medical or school settings. Learning Objectives: The participants will obtain basic knowledge regarding pediatric executive function, understand the occupational performance deficits, and discuss the role of OT in addressing executive function in their practice setting. Poster Sessions Thursday , 2:30 – 3:30 pm # P1 P2 P3 Presenters Marz Roehrig, BS, MOT; Kaitlyn Patton, BS, MOT; Caitlyn Polhill, BS, MOT; Dannille Riley, BS, MS, MOT; Stephanie Schlosser, BS MOT Jasmine Ward, OTS; Elizabeth Pauly, OTS; Michelle Robinson, OTS Courtney Seaman, OTS and Sarah Witherspoon, OTS P5 Marz Roehrig, BS, MOTS; Elise Meyers, BS, MOTS; Stephanie Schlosser, BS, MOTS P6 Nancy Hock, OTRL, CHT; Debra Lindstrom PhD, OTRL, FAOTA; Aubrey Aubrey, MS, OTS; Mary Lutzke, MPH Mark Thomson, OTS P7 8 P8 P9 10 11 12 Poster Title Hoarding: Is There Room for Occupational Therapy? The Impact of Client-Selected Activities and Co-Occupation in Families Experiencing Homelessness Relationship between Handwriting Legibility and Academic Performance in College Students: A Quantitative Study Meaning of Participation for Survivors with Traumatic Brain Injury in a Therapeutic Work Program: A Qualitative Study Psychometrics and Norm Study for Baseline 5 Positions Hydraulic Pinchmeter Group Case Analysis of a West Michigan Recovery Home Danielle Roy, OTS, Christopher Wilson, PT, DScPT, DPT, GCS Bridget Benoit, BS, OTS; Katie Fleming, OTS; Jaclyn Benninger BA, OTS; Camron Moorehead BS, OTS Carla Floyd-Slabaugh, OTD, OTR/L, CBIS, Visiting Professor GVSU Physical and Occupational Therapy Involvement in a Hospital-Based Interdisciplinary Palliative Care Program Factors that Influence Professional Socialization Camron Moorehead, BS, OTS; Jaclyn Benninger, BA, OTS; Katie Fleming OTS; Bridget Johnson, BS, OTS Thomas Herin, MS, OT Understanding How New Practitioners Use Occupation in Practice: A Survey Rachel Morrison CTRS, OTS; Jason Clements OTS; Jade Sharrer OTS; Educating Occupational Therapy Practitioners on Pediatric Executive Function Normative Scores and Comparison of the Complete Minnesota Dexterity Test for Adults 18-25 Years Perceived Outcomes of Community-based Participatory Research with Men Living in Abstinence-based Recovery Housing (A prospective study) # 13 14 15 P16 P17 Presenters Cynthia Grapczynski, EdD, OTRL, FAOTA Aletta Huisman, OTS; Denae Asel-Templin, OTS; Kaitlyn Malburg, OTS; Jeanine Beasley, EdD, OTR, CHT,FAOTA; Dr. Leiras, PhD, AHS/MPH Michelle Polanic OTS, CTRS; Aubrie Hurt, OTS; Stephanie Carnaghi, OTS; Scott Truskowski, MS, OTRL Emily Fleming OTS; Brittany Falzon ATC/L, OTS; Raelene Harvey, OTS; Susan Cleghorn, DrOT, OTRL, TRS, CAPS Megan O’Mara, MS, OTRL, CBIS and Kassie Roon, MS, OTRL, CBIS Hillary Vasher, MSOT; Kellie Stawowy, MSOT; Kayla Meyer, MSOT Poster Title The Effects of Dance and Movement Based Interventions on the Occupational Performance of Individuals with Autism Spectrum Disorder Functional Outcomes of Animal-Assisted Therapy: A Systematic Review Card Shop: Key Elements of an Interprofessional Vocational Program for Adolescents with Intellectual Disabilities Easing Pain through Occupational Therapy and Goal Attainment Scaling P18 Abby Davis, OTS and Megan Luann Palczewski, OTS The Impact of Equine Assisted Therapy on Communication within Familial Relationships of Veterans with PostTraumatic Stress Disorder: A Phenomenological Study Progressive Mobility Programs (Early Mobilization in the ICU) P19 Gabrielle Lober, OTS and Rachel Walker, OTS Effective Cognition Assessment of Ventilated Patients P20 Emily Sandberg, OTS and Katelyn Weiandt, OTS Long Term Benefits of LSVT-BIG Program for Individuals with Parkinson’s Disease P21 Heather Duyck, OTS P22 Cameron Guster, OTS and Brittany Domin, OTS 22 Debra K Lindstrom PhD, OTRL, FAOTA and Carolyn Sithong, MS, OTRL, SCEM, CAPS Tracy Klein, MS, OTRL and Karen Lin, ORTL Pediatric Constraint Induced Movement Therapy vs. Bimanual Training for Hemiplegia Sling Use with the Flaccid Upper Extremity: Central Nervous System Brain Injury Psychometric Study of Home for Life Home Assessment 23 31 Lynnette Rasmussen, OTRL Kate Chang, MA Occupational Therapy Breast Feeding Support Program Assessment of Self-Determination in Adolescents with Neonatal Brachial Plexus Palsy Poster Sessions Thursday , 2:30 – 3:30 pm Hoarding: Is There Room for Occupational Therapy? (Poster #P1) Marz Roehrig, BS, MOT; Kaitlyn Patton, BS, MOT; Caitlyn Polhill, BS, MOT; Dannille Riley, BS, MS, MOT; and Stephanie Schlosser, BS MOT The purpose of this presentation is to explore hoarding as an occupation that has a significant negative impact on engagement in daily occupations and suggest that there is a potential role for OT in the treatment of hoarding. Inclusion of hoarding in DSM-V along with popular television shows such as, Hoarding: Buried Alive and Hoarders: Family Secrets have increased awareness. The acquisition of / failure to discard large numbers of possessions, which characterizes hoarding, often precludes the use of living spaces, from their intended function. Other risks include, falls, poor food safety, respiratory issues and structural issues or collapse. Traditional treatments for obsessive compulsive disorder have proven unsuccessful in the treatment of compulsive hoarding. Occupational therapy’s distinct value in the potential treatment of compulsive hoarding lies in our ability to analyze and understand connections between occupation, space, place, objects, and identity. The Impact of Client-Selected Activities and Co-Occupation in Families Experiencing Homelessness (Poster #P2) Jasmine Ward, OTS; Elizabeth Pauly, OTS; and Michelle Robinson, OTS Access and use of rehabilitation and medical services for the homeless population continue to be a barrier, particularly for families experiencing homelessness. This poster session will address how evidence-based interventions involving cooccupation within a family can alleviate stress and promote occupational balance. Occupational therapy can improve the quality of life of those experiencing homeless by restoring and creating occupations to increase health and wellness. Participants will understand the role of occupational therapy within family homelessness and explore how client-selected activities can facilitate co-occupation. Relationship between Handwriting Legibility and Academic Performance in College Students: A Quantitative Study (Poster #P3) Courtney Seaman, OTS and Witherspoon, OTS This study aimed to explore if there was a statistically significant relationship between handwriting legibility and grade point average in college students. The presentation would cover the study, the data collection measures, the outcomes, and the impact on future research. Handwriting is one of the most common reasons for students to be referred to occupational therapy. Occupational therapists may need to intervene to improve an individual’s handwriting skills so that he/she has the maximal capacity to be successful in high school and college. The OTs at the conference would learn that they may not need to focus on handwriting legibility in the college-age population, but that further research needs to be done. It may spark interest in another group to re-launch the study in another area to make the results more conclusive. Meaning of Participation for Survivors with Traumatic Brain Injury in a Therapeutic Work Program: A Qualitative Study (Poster #P5) Marz Roehrig, BS, MOTS; Elise Meyers, combined BS MOTS; and Stephanie Schlosser, BS MOTS Traumatic brain injury (TBI) affects 1.4 million people every year in America, and can severely impact the health, routines and roles of the individual. Work has been found to be important for reconstructing identity and competence, increasing social participation, and providing supports. Returning to work is often a goal of people who have sustained a TBI. The context for this study is a mid-western therapeutic work program (TWP) developed for people with TBI which includes productive, therapeutic, and leisure activities. Various staff and survivors contributed to the qualitative exploration and collection of data to capture how people with TBIs describe their participation. Preliminary findings included themes of sense of control over participation, consequences of participation, and changes in behavior due to participation, and supports and barriers for participation. The findings support greater understanding of the experience of participating in a TWP for people with TBIs. Psychometrics and Norm Study for Baseline 5 Positions Hydraulic Pinchmeter (Poster #P6) Nancy Hock, OTRL, CHT; Debra Lindstrom PhD, OTRL, FAOTA; Aubrey Aubrey, MS, OTS; and Mary Lutzke, MPH The typical pinch meter used in the clinical environment by Occupational and Physical Therapists is the B&L pinch meter. This is a spring loaded pinch meter assessing static pinch. With the advancement of technology, pinch meters have also been developed which link to computer software measuring pinch strength. All of these pinch meters are static in which the pinch position (width/distance) cannot be varied. A new 5 position hydraulic pinch meter has been developed by Fabrication Enterprises (FEI) which as the ability to assess pinch strength at 5 varied widths. The purpose of this study is three fold: 1. to established inter-rater reliability for this pinch meter; and 2. to develop norms for all 5 levels of pinch for various age groups. 3. To use sensory technology to identify the pinch required to complete everyday various tasks. Poster presentation will identify results of this study. Group Case Analysis of a West Michigan Recovery Home (Poster #P7) Mark Thomson, OTS Tremendous potential remains to address the prevalence of addiction and the availability of treatment. Recovery residences (sober-living homes) are an incipient model of addiction treatment complementing the continuum of care for individuals seeking to master recovery. This study explored the potential role of occupational therapy within a recovery residence setting. Focus group interviews provided insight into the needs of residents within this setting. Participant responses indicated a positive perception of the program’s role. However, residents experienced barriers to achieving long-term recovery goals. Resident needs revealed a connection between the recovery process and Maslow’s hierarchy of needs. Findings suggested occupational therapy’s scope of practice defined by the Occupational Therapy Practice Framework: Domain & Process 3rd Edition can address the identified needs. Complexities of addiction recovery mandate a holistic, person-centered approach to addressing limitations of health and wellness. Occupational therapy may complement this model delivered over the long-term process of recovery. Physical and Occupational Therapy Involvement in a Hospital-Based Interdisciplinary Palliative Care Program (Poster #8) Danielle Roy, OTS, and Christopher M Wilson, PT, DScPT, DPT, GCS Occupational therapy (OT) and physical therapy (Poster #T) can contribute to optimizing quality of life for patients receiving palliative care; however, involvement is not well documented. This study analyzed which palliative care patients received an order for OT or PT during a hospitalization, and aimed to describe the patients most likely to have these services ordered. This was a retrospective analysis using clinical patient care data. Palliative care orders were examined for presence or absence of PT/OT orders, diagnosis, age, and length of stay (LOS). Of the 824 unique patients, 681 patients (82.65%) received at least one order for PT; 615 patients (74.63%) received at least one order for OT. A large percentage of patients who received palliative care consultations also received PT and/or OT orders, and most of the time therapy was ordered before palliative care. Factors that Influence Professional Socialization (Poster #8) Bridget Benoit, BS, OTS; Katie Fleming, OTS; Jaclyn Benninger BA, OTS; and Camron Moorehead BS, OTS In our study, we explored the many factors that affect the professional socialization process of occupational therapy students. This process, which encompasses the learning of roles, responsibilities, and culture of the profession, is influenced implicitly and explicitly by many aspects of pre-professional education. Areas of an occupational therapy program that contribute as agents of socialization include fieldwork experience, course content, classroom discussions, context of education, and personal reflection. Each of these socializing agents was examined in one occupational therapy program. Specifically, we addressed how this program socializes its students to value occupation-based practice. In this presentation, we will explain how occupational therapy students learn the value of occupation-based practice, understand it, and experience it both within the program and in fieldwork. Participants will be able to identify specific socializing agents and how they influence students to practice in an occupation-based way. Educating Occupational Therapy Practitioners on Pediatric Executive Function (Poster #P9) Floyd-Slabaugh, OTD, OTR/L, CBIS, Visiting Professor GVSU To provide web-based education on pediatric executive function to occupational therapy practitioners in order to measure any change in knowledge and confidence on the topic. A convenience sample of N=4 participants volunteered for the project. The participants completed a pre-survey, had access to 6-weeks of web-based education on the topic of pediatric executive function, and completed a post-survey. Three of the four participants, 75%, indicated increased knowledge of and confidence on the topic in the quantitative results. The education did result in increased knowledge and confidence with the majority of the participants. The lack of group interaction could have hindered the opportunity to learn in an active and collaborative manner. Relevance to OT: Executive function is a higher-level cognitive function that can influence occupational performance throughout the lifespan. Understanding How New Practioners Use Occupation in Practice: A Survey (Poster #P10) Camron Moorehead, BS, OTS; Jaclyn Benninger, BA, OTS; Katie Fleming OTS; and Bridget Johnson, BS, OTS The purpose of this presentation is to discuss survey results of recent graduates’ understanding of occupation-based practice (OBP), share supports and barriers to practice and offer recommendations to our profession. This project has implications for explicating the distinct value of occupational therapy and guiding occupational therapy education. Based on discussion of the results of this study, participants will be prepared to critically evaluate their own practice. Additionally, participants will be able to articulate barriers/supports to the translation of occupation-based practice experienced by recent graduates, and participate in the ongoing discussion on the definition of occupation-based practice and how to support its implementation. Normative Scores and Comparison of the Complete Minnesota Dexterity Test for Adults 18-25 Years (Poster #P11) Thomas Herin, MS, OT The aim of this study was to update the normative values for the Complete Minnesota Dexterity Test (CMDT). Normative data collection was completed on a self-selected convenience sample of 147 individuals without reported hand conditions. The study’s participants completed the placing subtest significantly faster (t=7.534; p<.001) compared to the 1957 normative data. However, the turning subtest was not found to be significantly different between the current study and the previous normative data (t=1.552; p=.136). This study presented updated normative data for the placing and turning subtests of the CMDT for those 18-25 years of age. Based on the findings of this study, the 1957 norms can still be used for young adults for the turning subtest, but the previous norms were significantly slower than the current study for the placing subtest. Perceived Outcomes of Community-based Participatory Research with Men Living in Abstinence-based Recovery Housing (A prospective study) (Poster #P12) Rachel Morrison CTRS, OTS; Jason Clements OTS; Jade Sharrer OTS; and Cynthia Grapczynski, EdD, OTRL, FAOTA According to research, individuals with addiction or are returning to the community after incarceration are concerned about taking action, reintegrating into society, and functioning productively in their community. Based on the theory of critical consciousness, community-based participatory research can assist these individuals in collaborating with researchers and actively participating in their recovery. The purpose of this study is to determine the outcomes and feasibility of using CBPR in effort to achieve re-engagement in productive occupations and empowerment in recovery. The abstract and content of the poster will consist of a purpose and problem statement, research question, methodology, prospective results, implications for OT, and the researchers’ contact information. The objective is that within the occupational therapy profession, knowledge will be increased and a demonstration will be discussed of the benefits of using CBPR with individuals with addictions. The Effects of Dance and Movement Based Interventions on the Occupational Performance of Individuals with Autism Spectrum Disorder (Poster #P13) Aletta Huisman, OTS; Denae Asel-Templin, OTS; Kaitlyn Malburg, OTS; Jeanine Beasley, EdD, OTR, CHT,FAOTA; and Dr. Leiras, PhD, AHS/MPH Purpose: Conduct a systematic review to evaluate the effects of dance and movement-based interventions on the occupational performance of individuals with ASD? Method: CINAHL, PsychINFO, SPORTDiscus were electronically searched (September 2015). Studies were reviewed and selected for inclusion. Data regarding type, length, frequency of intervention, outcomes, and outcome measures were extracted. Results: Five studies (3a and 4a) were identified for inclusion. Five types of dance and movement interventions were used (Traditional Greek, Creative Movement, Dance Movement Therapy with mirroring, Combined Music and Dance Movement Therapy, and Yoga, Dance, and Movement Therapy). Class length and duration varied. Outcome measures assessed mental and sensory body functions and motor, process, and social interaction performance skills (OTPF-3). Some statistically significant improvements were reported in each of these categories. Conclusions: Emerging level 3a and 4a evidence suggests that benefits in occupational performance can be achieved through dance and movement-based interventions for individuals with ASD. Functional Outcomes of Animal-Assisted Therapy: A Systematic Review (Poster #P14) Michelle Polanic OTS, CTRS; Aubrie Hurt, OTS; Stephanie Carnaghi, OTS; and Scott Truskowski, MS, OTRL The objective of this poster will be to review the literature on functional outcomes of animal-assisted therapy (AAT) within the field of occupational therapy. A systematic search was conducted using PsycInfo, PubMed, and CINAHL. Search terms related to AAT and the performance skills and sensory functions found in the Occupational Therapy Practice Framework 3rd edition were used in each database. Articles had to be from peer-reviewed journals and provide a clear description of how AAT was implemented in order to qualify for this review. No restrictions regarding the date of publication, the type of animal, or the study population were used. The authors identified 19 articles that met the criteria. This research is in progress and will be completed in advance of MiOTA conference. Authors will synthesize articles according to their data extraction plan, check for publication and reporting bias, and discuss future directions for research in the field. Card Shop: Key Elements of an Interprofessional Vocational Program for Adolescents with Intellectual Disabilities (Poster #P15) Emily Fleming OTS; Brittany Falzon ATC/L, OTS; Raelene Harvey, OTS; and Susan Cleghorn, DrOT, OTRL, TRS, CAPS This study explored the key elements and interprofessional roles of an established vocational program, which can help guide future development of similar programs for high school students with disabilities. Semi-structured interviews were utilized with professionals involved with the program (n=4) to discover three main themes including: resources, interprofessional roles, and student-centered skills. From these results, it can be concluded that vocational programs should be collaborative, the lead personnel should have passion and drive for the program, and the interdisciplinary team must be invested and appreciate the role and scope of other professionals and staff. The results showed that vocational programs can build student-centered skills that enable students to participate in opportunities later in life. Additional findings include the benefits of community integration and having a self-sustaining program. Easing Pain through Occupational Therapy and Goal Attainment Scaling (Poster #P16) Megan O’Mara, MS, OTRL, CBIS; and Kassie Roon, MS, OTRL, CBIS Many patients suffer from chronic back pain and have difficulty participating in everyday life. These patients are desperate for pain relief and seek out remediation through multiple medications, surgical intervention, injections, and even some holistic approaches (acupuncture, massage, and herbal treatments). Traditional treatment does not always prove effective to remediate pain, and patients are often left trying to cope with the pain and the detrimental effects it can have on participation in meaningful tasks. Evidence-based research suggests an alternative treatment approach to chronic pain management through the use of Goal Attainment Scaling. Goal Attainment Scaling is focusing on meaningful occupationbased tasks and formulating a treatment plan with the patient’s primary goal as focus. Through the use of Goal Attainment Scaling, Occupational Therapists can keep the patient’s goal at the forefront of the treatment plan, and work towards remediating participation in meaningful tasks. Learning Objectives: 1) Participants will understand current approaches to chronic pain management and rate of ineffectiveness; 2) Participants will understand Goal Attainment Scaling as an alternative treatment approach to chronic pain management; 3) Participants will understand the implementation of Goal Attainment Scaling with the chronic pain population in order to achieve meaningful occupation and patient centered goals. The Impact of Equine Assisted Therapy on Communication within Familial Relationships of Veterans with Post-Traumatic Stress Disorder: A Phenomenological Study (Poster # P17) Hillary Vasher, MSOT; Kellie Stawowy, MSOT; and Kayla Meyer, MSOT A significant percentage of veterans returning from war between World War II and Operation Iraqi Freedom have been diagnosed with post-traumatic stress disorder (Poster #TSD; Plach & Sells, 2013). Many veterans with PTSD demonstrate poor communication skills, which may hinder family functioning and impair their ability to successfully reintegrate with their family and valued occupations within the home and community (Marsanic et al., 2013). CONTENT: This study provides preliminary evidence supporting the use of EAT with veterans to address concerns in the areas of familial relationships, verbal communication, interpersonal behaviors, and conflict resolution. As this was a small qualitative study, additional research is recommended to generate higher-level evidence regarding the impacts of EAT on veterans. OTs can address a variety of mental health conditions that EAT also treats including behavioral issues, attention deficit disorder, substance abuse, eating disorders, depression and anxiety. Progressive Mobility Programs (Early Mobilization in the ICU) (Poster #P18 ) Abby Davis, OTS and Megan Luann Palczewski, OTS In medical intensive care units (MICU’s), the OT frequently works with clients who are in the early stages of mobility. Clients with orders of bed rest are at heightened risk to co-morbid conditions that significantly impact client health. The OT plays an important role in the mobility process, and wants to know the most effective utilization of progressive mobility programs. The OT is ideally interested in their role in the progressive mobility process. Effective Cognition Assessment of Ventilated Patients (Poster # P19) Gabrielle Lober, OTS and Rachel Walker, OTS Ventilated patients have a high prevalence of cognitive dysfunction that often decreases their ability to engage in daily occupations. Occupational therapists have used a variety of strategies and assessments to gain knowledge on a patient’s cognitive status. These findings can help therapists develop intervention plans to reach patient goals and improve functional abilities. Long Term Benefits of LSVT-BIG Program for Individuals with Parkinson’s Disease (Poster # P20) Emily Sandberg, OTS and Katelyn Weiandt, OTS A 60 year old, male has been diagnosed with Parkinson’s Disease for 5 years. Referral received from MD stating deficits in the following areas: balance, perception, gait, postural instability, coordination, swallowing, tremors, rigidity, bradykinesia, hypokinesia, and loss of higher cognitive functions. Currently there is not a cure, but there are treatment options for Parkinson’s Disease. LSVT-BIG is one type of treatment that Occupational or Physical Therapist can implement. This program uses high amplitude movements to overcome bradykinesia and hypokinesia. The client attended 16 sessions in total (1 hour sessions, 4 days a week, for 4 weeks). The client has been discharged from the LSVT-BIG program for 6 months now and is benefiting from the long-term effects of the LSVT-BIG program such as improved gait speed and the speed of reaching across limbs, decrease depression, anxiety, and fatigue. By participating in this program the client can engage in meaningful occupations. Pediatric Constraint Induced Movement Therapy vs. Bimanual Training for Hemiplegia (Poster # P21) Heather Duyck, OTS Sarah is a five year old girl diagnosed with congenital hemiplegia from cerebral palsy. Her right side is affected, and she has no intellectual disabilities. While her parents want her to start first grade in the fall, they are worried about her ability to do well in the classroom because she is right handed. As her occupational therapist, you are interested in whether pediatric constraint induced movement therapy (Poster #CIMT) or bimanual training (BIT) would be a more effective treatment plan for Sarah. Sling Use with the Flaccid Upper Extremity: Central Nervous System Brain Injury (Poster # P22) Cameron Guster, OTS and Brittany Domin, OTS In the acute care setting, an occupational therapist often evaluates and treats patients after a central nervous system (CNS) brain injury. There are many intervention strategies used to help treat these conditions. Slings are most commonly used short-term with patients who present with a flaccid upper extremity. The main concern is the efficacy for the sling use with patients who fall under this diagnosis. Psychometric Study of Home for Life Home Assessment (Poster # 22) Debra K Lindstrom, PhD, OTRL, FAOTA and Carolyn Sithong, MS, OTRL, SCEM, CAPS Psychometric Study of the Home for Life Assessment is an inter-rater reliability and construct validity study of a 2015 released app-based home modification assessment. This app leads an OT through the process of making home modification recommendations based on the client’s safety performing the occupations they need to perform in each room/area of their home. This study begins the process of providing evidence for the use of this assessment in practice. Home for Life focuses on the environment and not the person as the problem to be changed. This OT appbased assessment allows an OT to go through home modification recommendations efficiently by embedding the home pictures into the report through the app on a tablet and show examples of recommended equipment at the time of the assessment. Participants will explain the current psychometric properties of the assessment. Occupational Therapy’s Breast Feeding Support Program (Poster #P23) Tracy Klein, MS, OTRL and Karen Lin, OTRL Occupational therapy has so much to offer the new mother/baby couplet. In addition to working on baby’s oral motor strength and range of motion, OT is also uniquely positioned to assist with mother’s breast health and fluid flow by use of ultrasound and manual lymph drainage to treat plugged milk ducts. Plugged milk ducts can lead to pain, possible infection, diminished milk production, and/or interfere with ease and longevity of breastfeeding. Learn how the University of Michigan Health System’s Breastfeeding Support Program helps to address these issues with evidence based research and Occupational Therapy intervention techniques. Assessment of Self-Determination in Adolescents with Neonatal Brachial Plexus Palsy (Poster # 31) Lynnette Rasmussen, OTRL znd Kate Chang, MA The term self-determination refers to decision-making, goal setting, and perseverance to achieve those goals. Numerous research studies establish the importance of self-determination to enhance learning and improve post-school outcomes. However, most studies evaluate students with learning disabilities, cognitive impairment, and behavioral disabilities. There is an absence of research on self-determination for youth with physical disabilities. This study aimed to assess the self-determination beliefs of adolescents with neonatal brachial plexus palsy (NBPP) and compare them with typically developing peers on self-reported measures of function. The audience will gain knowledge about self-determination in adolescents with NBPP to aide in establishing treatment goals and encourage self-advocacy. URSDAY FRIDAY Session #2 Friday, 9:30-12:30 PM Health Literacy Resource Manual: Education, Implementation, and Advocacy for Health Literacy Concepts in Occupational Therapy Practice Jennifer Friesema, OTD, OTRL Research has found that only 12% of the American public has proficient health literacy skills, estimating that 90 million Americans do not have the health literacy skills to successfully navigate the US health care system. Consequences of poor health literacy are damaging for individuals, communities and societies as a whole. The significant prevalence of this problem makes it likely that many people involved with OT services will have barriers to their treatments based on health literacy. This workshop will share current research about health literacy and how it impacts the health care encounter. The PEOP model will guide a comprehensive discussion about the role of OT in evidence-based evaluation and intervention strategies in the clinic. Participants will be equipped with knowledge, skills, and resources to be able to assess their work environment and begin health literacy interventions immediately after the workshop. Session #5 Friday, 9:30-12:30 PM Relationship-Based Feeding: A Primer for Practitioners Patricia Henton, OTD, OTR/L Feeding is a primary occupation of children that is necessary for their growth and development. Parents often seek the assistance of health professionals due to poor weight gain and feeding concerns. Without appropriate intervention, caregiver stress due to unresolved feeding difficulties may lead to coercive feeding practices and negative mealtime behaviors. Current pediatric feeding courses for practitioners focus on the developmental, physical, behavioral, and sensory components of feeding yet minimize the social-emotional aspect. This gap in knowledge impacts professional practice and affects child and family outcomes. A critical appraisal of current research will address this gap in OT knowledge. An interactive, hands-on presentation will provide many opportunities to discuss and reflect upon current feeding practice. This workshop supports AOTA’s Centennial Vision by addressing the need for evidence-based education to empower practitioners to meet the occupational needs of children and families in the area of feeding. Learning Objectives: 1) Describe the complexity of contextual and biopsychosocial factors that contribute to feeding difficulties; 2) Identify evidence-based feeding interventions that promote relational and family-centered feeding practice; 3) Compare and contrast feeding interventions that influence the feeding relationship; 4) Discuss practical ways to improve occupational therapy practice and feeding outcomes. Session #9 Friday, 9:30-12:30 PM OT for Children with Dyslexia Denise Justice, OTRL; Kirsten Matthews, MA, OTRL; and Donna Case, PhD, OTL One in five children present with dyslexia. Children with dyslexia often go undiagnosed or have a delayed diagnosis. Occupational therapists can be instrumental in the recognition of dyslexia as well as the provision of interventions/resources for these children. Participants who attend this session will learn: 1) Characteristics of dyslexia; 2) Difference between dyslexia and learning disabilities; 3) Presence among other medical diagnoses including brachial plexus palsy; 4) Importance for early diagnosis; 5) Therapeutic strategies; 6) Adaptive strategies; 7) Technology interventions; 8) Alternative treatment or services; 9) IEP or 504 plan recommendations. Session #14 Friday, 9:30-12:30 PM Documenting the Distinct Value of Occupational Therapy Services in Pediatric Practice Sara Androyna, COTAL and Susan Robosan-Burt, OTRL The focus on this presentation will be on documentation of pediatric occupational therapy services in the schools and outpatient settings. The current issues and trends in documentation of pediatric occupational therapy services will be reviewed and discussed. This workshop will provide current examples and tools to enhance and improve your documentation. As a participant you will have the opportunity to dissect and complete documentation through real life videos. This workshop will include guidelines and strategies to adhere to reimbursement and educational guidelines utilizing the occupational therapy practice framework. Learning objectives: 1) Document the distinct value of occupational therapy services in pediatric practice while adhering to reimbursement guidelines, standards of practice and IDEA; 2) Develop occupational therapy functional problem statements in order to substantiate occupational therapy goals and intervention; 3) Utilize the occupational therapy practice framework and documentation tool to establish reasonable and measurable goals. Session #35 Friday, 9:30-11:30 PM Spirituality with the Intellectually Disabled Barbara Hemphill, D.Min, OTRL, FAOTA Occupational Therapists deal with everyday activities that facilitate growth and change of individuals that are intellectually challenged. Therapists provide services and their knowledge to habilitation, rehabilitation, and promotion of health and wellness including spirituality. The definition of intellectual disability in the context of spirituality goes beyond the historical view to include brain injury to the parietal lobe caused by insults to the brain. It is in the spiritual brain that spirituality is developed. Spirituality is an occupation that originates in the spiritual self and is expressed through occupation. Spirituality is a developmental process and occurs in 5 stages of faith. In order to determine the developmental stages of spirituality, assessments measuring quality of life and spiritual history are administered. Therapists who deliver healthcare to individuals that are intellectually challenged should have competencies that will enhance the client’s ability to express their spirituality in everyday life. Objectives: 1) Define spirituality in the context of intellectual disabilities; 2) Recognize spirituality as an occupation; 3) Define the spiritual brain; 4) Identify faith development related to brain growth; 5) Identify therapist competencies that will enhance spirituality in healthcare. Session #34 Friday, 9:30-10:30 AM Pain Assessment and Management – the Role of Occupational Therapy Cathleen Johnson, MS, OTRL Managing a patient’s pain requires an interdisciplinary approach to both assessment and treatment. Occupational therapy is one of the disciplines that have a significant role in a comprehensive approach to addressing acute and chronic pain. This course will provide the OT clinician with a thorough review of physical and psychosocial assessments to use when evaluating pain. Additionally, this course will provide the OT and COTA with significant treatment ideas to consider when addressing pain. Lastly, patient education models will be reviewed to help our patient’s better cope and manage ADL and IADL with both acute and chronic pain conditions. As a result of this course participants will be able to: 1)Identify the components of pain assessment in Occupational therapy; 2) Recognize the physical and psychosocial elements of pain treatment; 3) Identify effective occupational therapy treatment approaches to reduce painful conditions; 4) Identify effective patient education models to provide skilled instruction to manage pain. Session #33 Friday, 10:30-12:30 PM Documentation - A Clinician’s Roadmap Cathleen Johnson, MS, OTRL This 2 hour workshop will provide clinician’s with an overview of necessary requirements of documentation, purpose of documentation and then a review of how to “build” a great story in documentation to support skilled, medically necessary services. Documentation is a road map from determining needs of treatment to measuring progress and grading of the interventions. Quality documentation guides the therapist and therapy assistant to deliver distinct, impairment based rehabilitative interventions. This session will review evaluations, daily notes, reporting progress and supporting discontinuance of therapy sessions. The course will be experiential as well as lecture format to enable participants to gain first-hand knowledge and application of the principles discussed in the workshop. Session #26 Friday, 10:30-11:30 AM Understanding Pain and its Influence on Client Performance (PART 2) Cheri Ramirez, MS, OTRL and Alissa Baker, MS, OTRL This workshop is proposed as Part 2 of a two-part workshop. Part 1, Back to Basics: Functional Neuroanatomy Review includes a review of functional neuroanatomy and its application to OT practice. Participants can choose to attend Part 1, Part 2, or both parts. Pain is defined by the International Association for the Study of Pain (2012) as an unpleasant experience that is also subjective, emotional and psychological. The experience of pain is most often induced by a noxious stimulus that activates the nociceptors and nociceptive pathways of the nervous system. Understanding how these pathways are activated and how the brain modulates this sensory information can provide occupational therapists with a better understanding of their client’s perception of pain, how pain medications prescribed by physicians may be affecting the client’s performance, and how to educate client’s about effective pain management strategies. Session #19 Friday, 11:30-12:30 PM Coping with Pain through Art Jennifer Dochod, MS, OTRL This presentation will explore the role of art as a treatment modality in occupational therapy, related to the emphasis on occupation, representing our unique value in the world of health care, according to Amy Lamb, president-elect of AOTA (AOTA, 2016). Included in this discussion are findings from Ms. Dochod’s original research (Dochod, 2007), the importance of full engagement, or “flow”; (Rebeiro and Polgar, 1999; Csikszentmihalyi, 1990), and positive changes in the brain associated with mindful activities (Davidson, Kabit-Zinn et al., 2003). This presentation will demonstrate the value of art for (a) distraction from pain caused by cancer or other trauma or chronic illness, (b) self-expression, (c) connecting with others, and stress reduction. Following this presentation, participants will be able to: 1) Identify the limits of traditional medicine; 2) Recognize the value of arts and crafts as a mode of treatment for coping with pain; 3) Describe the health benefits of art activities. Session #20 Friday, 1:30-3:30 PM Meeting the Healthcare Needs of the LGBTQIA Community: Inclusivity Practices for Occupational Therapists Sara Clark MS, OTRL; Cameron Guster, OTS; and Colleen McFawn, MS, OTRL Occupational therapy practitioners collaborate with clients, caregivers, or coworkers from the LGBTQIA community in all areas of practice. Increased inclusivity in language used and questions asked can promote greater trust in the therapist-client relationship. By the end of this session, participants will be able to: 1) Define terms for gender identity, gender expression, biological sex, and sexuality; 2) Understand at a deeper level the lived experience of the LGBTQIA community in relation to health disparities; 3) Identify ways to use inclusive and culturally-sensitive rapport-building methods with clients and caregivers from the LGBTQIA community. Session #29 Friday, 1:30-3:30 PM Application of the Occupational Therapy Process to Build Leadership Capacity Scott Truskowski, MS, OTRL; Jeffrey Cendejas, OTS; Emma Cohen, OTS; and Keelia Parise, OTS This session will utilize familiar language and the OT process to frame the connections between leadership and occupational therapy, making leadership a tangible part of practice. The application of this process will be highlighted through examples from a recent student research project. Participants will learn about leadership assessments and how the results can be applied to build leadership capacity. Leadership can be a part of everyone’s practice, however it is either not fully understood or does not feel attainable to all practitioners. Therefore, leadership is relevant to the future of clinical practice, OT education, and various professional organizations. Learning Objectives: 1) Participants will understand the connections between leadership, occupational science, and occupational therapy; 2) Participants will learn how to apply the OT process in order to assess leadership, develop a personal leadership plan, and potential outcomes related to these steps. Session #32 Friday, 1:30-3:30 PM The Distinct Role of OT in Reducing Re-Hospitalization Cathleen Johnson, MS, OTRL This didactic and experiential session will allow occupational therapy practitioners to explore the distinct occupations and process that OT uses to help patients engage in behaviors, routines and habits that support maintenance of health and safety. Rehospitalization is costly and most importantly disruptive to the client. This session will focus upon two instrumental ADL that can play a key factor in reducing rehospitalization. The session participants will practice identifying client factors that are condition specific while considering the individual characteristics of the client context, habits, roles and routines. 1) Define the role of the OT to reduce rehospitalization; 2)Identify client factors that place patient at risk for rehospitalization; 3) Define the occupations of health maintenance / management / safety / emergency management and the role of OT in PAC; 4)Identify distinct OT interventions to mitigate client factors to transition patient to next care continuum level with success. Session #4 Friday, 1:30-3:30 PM Shoulder Rehab: Assessment and Intervention Nancy Hock, OTRL, CHT Many times referrals for shoulder rehab are sent to physical therapy. OT’s are considered the experts of the upper quadrant. Why are we not commonly treating shoulder pathology? The purpose of this session would be to increase the comfort level of OT’s and OT students in assessing and treating shoulder pathology in multiple areas of care such as home care, outpatient, in patient rehab and skilled nursing. Learning objectives: 1) Identify various pathology involving the shoulder; 2)Understand various surgical management techniques and treatment protocols for management of shoulder pathology; 3)Discuss common interventions utilized in therapy; 4)Look at the OT evidence and what it supports. Session #21 Friday, 1:30-3:30 PM HomeFit Training and Working with AARP MI Debra K Lindstrom PhD, OTRL, FAOTA; Karen Kafantaris, ASD AARP MI; and Michael O’Connor, OTRL, CAPS, CBIST This HomeFit Training and Working with AARP MI workshop is based on the concern that as the baby boomer generation ages, there is an impending need for older adults to live in homes that are safe for them. Repeated studies by AARP finds that 89% of people over the age of 50 want to stay in their current home as long as possible and avoid needing to move to expensive assistive living or nursing homes. The AARP HomeFit program educates people on how to make their current homes as safe as possible for them. AARP MI has been providing this program since 2011 with AARP MI OT HomeFit Volunteers. In 2015 AARP MI presented 35 presentations throughout the state. This intermediate level presentation will provide information to participants about the program and the opportunity to become an AARP MI HomeFit volunteer to provide presentations in their local communities. Session #36 Friday, 1:30-2:30 PM The Power of Membership Susan Robosan-Burt, OTRL and Sara Androyna, COTAL Do you know what you get for the dues you pay to AOTA? Do you understand the impact you can make as a member? Do you realize the changes you can make as a member? The current and past Michigan Reps to the Representative Assembly will answer these questions for you! You will be amazed! Session #37 Friday, 2:30-3:30 PM Accessibility, Visitability, and Long-Term Care Home Modifications Barbara Rider, PhD, OTL and Richard Baker, AIAE Current literature focuses on home modification for older adults and individuals recovering from injury or stroke. This presentation extends home modification beyond independence for older adults, to home modification for disabled children, teens and young adults, so they can remain at home with their families. The presentation will discuss “visitability”, the needs of caregivers, preparing the Letter of Medical Necessity, and sources of funding. Attendees will be provided with examples of floor plans, equipment, and strategies to meet home care needs of severely involved children, teens, and young adults. The home modifications presented cover very old homes, side-by-side homes, small homes, new homes. Funding for most of these families is a problem. The partnership of the occupational therapist and the architect refers way back to a 1996 article in “OT Week”. Objectives for attendees: 1) understand the home barriers to children and teens as well as well as their caregivers, 2) receive home modification plans they can apply to various home modification problems, 3) provision of suggestions for successful writing of Letters of Medical Necessity and funding sources. Save the Date For the 100th Anniversary of Occupational Therapy at the 2017 Annual MiOTA Conference Grand Hotel, Mackinaw Island, MI Saturday, October 7th Sunday, October 8th Welcome Reception Sponsor Bronze Sponsor Exhibitors Exhibitors